J Korean Fract Soc.  2005 Jan;18(1):6-11. 10.12671/jkfs.2005.18.1.6.

Treatment of Comminuted Femoral Shaft Fracture by Interlocking Intramedullary Nailing: Comparision of results between open reduction with cerclage wiring and closed reduction

Affiliations
  • 1Department of Orthopaedic Surgery, College of Medicine, Pusan National University, Pusan, Korea. jtsuh@.pusan.ac.kr

Abstract

PURPOSE: To compare of results between open interlocking intramedullary nailing combined with cerclage wiring and closed interlocking intramedullary nailing in treatment of femoral shaft comminuted fracture, we reviewed retrospectively 62 femoral shaft fractures.
MATERIALS AND METHODS
We reviewed retrospectively 62 femoral shaft comminuted fractures, who had been followed up for a minimum one year including Winquist-Hansen classification II, III, IV from January 1996 to December 2002. The group I include the patients who treated with closed interlocking intramedullary nailing. The group II include the patients who treated with open interlocking intramedullary nailing combined with cerclage wiring.
RESULTS
The average bone union time was 18.6 weeks in group I, 27.6 weeks in group II. The complication included 3 delayed unions, 1 nonunion and shortening of more than two centimeters in 1 patents in group I. In group II, The complication included 2 infections, 7 delayed unions and 3 nonunions.
CONCLUSION
We can use open interlocking intramedullary nailing with cerclage wiring in some femur shaft comminuted fractures, but there are many problems and complications. So we must consider it carefully before using this method.

Keyword

Femur; Shaft fracture; Interlocking intramedullary nailing; Cerclage wiring

MeSH Terms

Classification
Femur
Fracture Fixation, Intramedullary*
Fractures, Comminuted
Humans
Retrospective Studies
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